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Child/Adolescent Psychiatric - Mental Health Clinical Nurse Specialist - ANCC REVIEW – Q&A
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Child/Adolescent Psychiatric - Mental Health Clinical Nurse Specialist - ANCC REVIEW – Q&A
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Child/Adolescent Psychiatric - Mental HealthClinical Nurse Specialist - ANCC REVIEW – Q&A
Several months ago, a 12-year-old male client was involved in an exploitative
homosexual relationship with an older adolescent. Now in therapy, the client
expresses feelings of helplessness and fantasizes about "getting even" with the
older youth. The child/adolescent psychiatric and mental health clinical nurse
specialist encourages the client to:
Engage in activities with boys who are his age.
Take karate lessons to learn the skills needed to defend himself.
Work out with a punching bag to displace his hostility.
Write a letter to the perpetrator, expressing his rage at being exploited.
✔️Ans -Write a letter to the perpetrator, expressing his rage at being
exploited.
Two child/adolescent psychiatric and mental health clinical nurse specialists
are conducting a continuing education class for nurses, psychiatric
technicians, and aides who have varying levels of experience and education.
The clinical nurse specialists begin the class by introducing themselves and
relating their backgrounds and experience. The class is then asked to do the
same and tell why they are there. This method reflects which principle of
adult learning theory?
Assessment of group dynamics
Assessment of knowledge and learning needs of participants
Establishment of group cohesiveness and rapport with participants
Establishment of the clinical nurse specialists' role as experts ✔️Ans -
Assessment of knowledge and learning needs of participants
, After climbing on the trees that surround a six-year-old female child's home,
the child reports that the "angry trees" made her fall. This animistic thinking
is:
A coping mechanism to allay the child's guilt feelings.
An abnormal thought process for a child of this age.
Characteristic of preoperational thought.
Indicative of childhood schizophrenia. ✔️Ans -Characteristic of
preoperational thought.
For the past 18 months, an eight-year-old child has exhibited involuntary,
purposeless, rapid recurrent movements of the arms and face as well as
spontaneous unintelligible vocalizations. When receiving verbal cues, the
child can decrease and sometimes extinguish the erratic movements for
several minutes. The diagnosis is:
Atypical tic disorder.
Chronic motor tic disorder.
Stereotypic movement disorder.
Tourette disorder. ✔️Ans -Tourette disorder.
An eight-year-old female child is referred to the child/adolescent psychiatric
and mental health clinical nurse specialist for verbalizing fears that her
immigrant grandmother will die. The widowed grandmother wears heavy
black clothes, prays throughout the day, and secludes herself from everyone
except the child. Although the grandmother is physically healthly, she
discusses her impending death with the child. The clinical nurse specialist
recognizes that:
Cultural factors may negate the significance of seemingly obvious symptoms.
Religious fixations are common in delusional systems.
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